A History of Dentistry from the most Ancient Times until the end of the Eighteenth CenturyGuerini, Vincenzo
History
A History of Dentistry from the most Ancient Times until the end of the Eighteenth Century
Guerini, Vincenzo
Dentistry -- History
“He who lives long keeps many teeth.” But this translation does not
render faithfully the idea expressed in the original Greek, ὁι
μαχρόβιοι πλείους ὁδόντας ἔχουσιν (literally, the long-lived have
more teeth); a proposition that the most celebrated commentators
of Hippocrates interpret in the sense given by us, and which Litré
translates excellently well in these words: “_Avoir des dents en plus
grand nombre est un signe de longévité_.”
Notwithstanding this prejudice, which survived vigorously for many
centuries, the regular number of teeth was not unknown at the time
of Hippocrates. This is to be perceived from a brief treatise of the
Hippocratic collection, entitled _De hominis structura_, wherein is
written:
“The teeth, together with the molars, are thirty-two.”
Among the many and many counsels of practical value registered in the
works of Hippocrates, the following deserves special mention:
“When a person has an ulcer of long duration on the margin of the
tongue, one should examine the teeth on that side, to see if some one
of them does not, by chance, present a sharp point.”[88]
In fact, it not infrequently occurs that a lingual ulcer deriving from
irritation produced by a broken or sharp tooth assumes a malignant
aspect that causes it to be mistaken for a cancerous ulcer, and
medical men may even be so far misled as to advise the extreme remedy
of amputation of the tongue. If, however, the consulting surgeon has
some experience, he will not neglect in the first place to examine
accurately the state of the patient’s teeth; it then mostly happens
that after the removal of the offending tooth a complete cure is
obtained in a brief space of time. How much anxiety would not such poor
sufferers be spared if physicians in general were acquainted with the
counsel given by Hippocrates twenty-four centuries ago!
In speaking of fracture of the lower jaw, Hippocrates recommends
binding the teeth next to the lesion together. He distinguishes between
the complete and the incomplete fracture; he then speaks separately of
the fracture of the symphysis. Treating of the incomplete fracture, he
says:
“If the teeth in proximity of the lesion be shaken, one ought, after
having reduced the fracture, to bind them one to the other, until the
consolidation of the bone, using preferably gold wire for the purpose;
but if this be wanting, linen thread can be used instead, and not only
ought the two teeth next to the site of the fracture to be bound, but
several of the others besides.”[89]
[Illustration: FIG. 9
Two Greek appliances existing in the Archæological Museum of Athens.]
Farther on, when speaking of complete fractures, he renews this advice
in these words:
“After having carried out the coaptation, the teeth ought, as we have
said already, to be bound one to the other; this greatly contributes
to obtaining the immobility of the fragments, particularly if properly
carried out.”[90]
Public-domain text, read in full here on John Shaqi.
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